Search results for "Perioperative Care"
Interrupting DOACs for surgery associated with low rates of major bleeding, clots in afib patients
The standardized strategy stopped direct oral anticoagulants (DOAC) for one to two days prior to an elective surgery or procedure and resumed DOACs one to three days afterward, without heparin bridging, in patients with atrial fibrillation.
https://acphospitalist.acponline.org/weekly/archives/2019/08/14/3.htm
14 Aug 2019
Less intensive warfarin therapy less effective at preventing VTE after arthroplasty
Rates of major bleeding were similar whether patients were treated to an international normalized ratio target of 1.8 or 2.5 to prevent venous thromboembolism (VTE) after hip or knee arthroplasty, a randomized trial found.
https://acphospitalist.acponline.org/weekly/archives/2019/09/11/4.htm
11 Sep 2019
Program with family reduced postoperative delirium, functional decline in older patients
The success of a tailored, family-involved program that targeted delirium risk factors in Chinese patients after noncardiac surgery shows that U.S. hospitals could learn from cultures that more closely involve families in care, according to an editorial accompanying the study.
https://acphospitalist.acponline.org/weekly/archives/2019/10/30/2.htm
30 Oct 2019
Nicotine replacement during surgical hospitalization not associated with adverse outcomes
An observational study found no difference in complications, mortality, and readmissions between patients who had received nicotine replacement therapy within two days of major surgery and those who hadn't.
https://acphospitalist.acponline.org/weekly/archives/2019/12/11/1.htm
11 Dec 2019
Compression stockings may be unnecessary for VTE prophylaxis in most patients undergoing elective surgery
In a randomized controlled trial of patients at moderate or high risk of venous thromboembolism (VTE), prophylaxis with low-molecular-weight heparin alone was noninferior to a combination of low-molecular-weight heparin and graduated compression stockings.
https://acphospitalist.acponline.org/weekly/archives/2020/05/20/5.htm
20 May 2020
Postoperative antibiotic prophylaxis may not reduce risk of surgical-site infection
Findings from a systematic review and meta-analysis of 52 studies support World Health Organization recommendations against continuing surgical antibiotic prophylaxis postoperatively.
https://acphospitalist.acponline.org/weekly/archives/2020/06/03/4.htm
3 Jun 2020
A path for patients returning after joint replacement
The orthopedics service worked with hospital medicine and took more readmitted patients.
https://acphospitalist.acponline.org/archives/2020/10/success-story-a-path-for-patients-returning-after-joint-replacement.htm
15 Oct 2020
Helping hip fracture patients
Is comanagement the answer?
https://acphospitalist.acponline.org/archives/2020/12/helping-hip-fracture-patients.htm
15 Dec 2020
Antiplatelet therapy linked to increased risk of post-pleural procedure bleeding
Although patients on antiplatelet therapy were at increased risk of bleeding, including serious bleeding, during the 24 hours following a bedside pleural procedure compared with controls, rates of bleeding and severe bleeding were low, a French study found.
https://acphospitalist.acponline.org/weekly/archives/2020/12/16/2.htm
16 Dec 2020
Weighing perioperative cardiac risk scores
Experts explain and compare the available tools, detailing which scores they prefer.
https://acphospitalist.acponline.org/archives/2021/03/weighing-perioperative-cardiac-risk-scores.htm
15 Mar 2021